Upcoming Webinars

  • No upcoming events

Site Updates

Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Menu
Log in


Log in

North Carolina Medicaid Outpatient Therapy 

Guidelines for North Carolina Medicaid coverage of outpatient therapy services.  If the client is enrolled in a managed care plan some of the rules may be different but coverage will be the same.  In addition to our guides and sample policies we provide ongoing compliance and billing support for members.       

Updated 8/6/2024

Eligible Providers

    • Eligible Providers
    • Settings

Documentation 

    • Documentation Requirements
    • Evaluations
    • Re-evaluations
    • Treatment Plan
    • Discharge
    • Follow-Up

Medical Necessity for SLP Services

    • Oral Phase, Pharyngeal Phase, or Oropharyngeal Phase Dysphagia
    • English Language Proficiency
    • Language Impairment Classifications Infant/Toddler: Medicaid Beneficiary Birth to 3 Years:
    • Language Impairment Classifications: Medicaid Beneficiary 3 – 5 Years of Age
    • Language Impairment Classifications: Medicaid Beneficiary 5 through 20 Years of Age and NCHC Beneficiary 6 through 18 Years of Age
    • Articulation/Phonology Impairment Classifications : Medicaid Beneficiary birth through 20 Years of Age and NCHC Beneficiaries 6 through 18 Years of Age
    • Articulation Treatment Goals Based on Age of Acquisition
    • Phonology Treatment Goals Based on Age of Acquisition of Phonological Rules
    • Eligibility Guidelines for Stuttering
    • Differential Diagnosis for Stuttering
    • Augmentative and Alternative Communication (AAC) Devices
    • Audiology Therapy (Aural Rehabilitation)
    • Evaluation for Central Auditory Processing Disorders (CAPD)


Order Requirement

    • Who may order therapy services?
    • When does the order need to be signed?
    • How long are verbal/written orders valid for?

Prior Approval

    • Beneficiaries under the Age of 21 Years
    • Visit Limitations Beneficiaries 21 Years of Age and Older
    • Medical Necessity Visit Guidelines for Beneficiaries Under 21 Years of Age

Treatment

    • Services
    • Group Therapy 
    • Co-Treatment


About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

Learn More 

Join Us

Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

Join Today 

Find Us


Powered by Wild Apricot Membership Software